Organization Active NPI

PCGH, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Roxboro, NC
National Provider Identifier
1184760084
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL 073 035 Issued in NC
Legal business name
PCGH, INC
Practice address
202 N. Main Street
Roxboro, NC 27573-0721
Phone
(336) 599-9421
Fax
(336) 599-7220
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa S Day
Title
Clinical Director
Phone
(336) 599-9421

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL 073 035 NC Primary

Addresses

Primary practice location

202 N. Main Street
Roxboro, NC 27573-0721

Mailing address

PO Box 721
Roxboro, NC 27573-0721
Phone (336) 599-9421

Other identifiers 1

IdentifierTypeStateIssuer
7804217MedicaidNC

Other names 1

  • Person County Group Homes, Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
PCGH Inc44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1184760084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275730721",
            "telephone_number": "336-599-9421",
            "fax_number": "336-599-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N. MAIN STREET",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275730721",
            "telephone_number": "336-599-9421",
            "fax_number": "336-599-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCGH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "336-599-9421"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL 073 035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804217",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Person County Group Homes, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.